Leprosy Mailing List – December 24, 2019
Ref.: (LML) ENL and pregnancy and ITOL
From: Ruth Butlin, London, UK
Dear Pieter,
It has been interesting to read the recent discussions about managing ENL reaction during pregnancy.
There is a dearth of evidence-based guidelines on this subject, as noted in our chapter, Mothers and children with leprosy, in the on-line International Textbook of Leprosy (ITOL). I would like to appeal to readers of LML to see if any of them could fill the evidence gap by undertaking some studies on the epidemiology and treatment & outcomes of Leprosy Reactions in Pregnancy and the Puerperium.. Only by detailed studies, using representative samples and following up cohorts of women of child-bearing age, will we understand the problem.
For readers unfamiliar with the International Textbook of Leprosy, I would recommend they go to www.internationaltextbookofleprosy.org and look through some of the chapters. More chapters are still being added and, in time, all will be updated as important new information becomes available. The ITOL is "open access", free of charge, so can be consulted by anyone with internet access, and individual chapters can be downloaded as pdfs for reading at leisure on one's own computer.
Yours sincerely,
C Ruth Butlin
(joint author, with Steve Withington, of chapter on "mothers and children with leprosy" in the special clinical circumstances section of ITOL)
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
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